A postoperative client has an abdominal incision and a Penrose drain. Both are covered with an abdominal dressing. Which is an important nursing action associated with caring for a client with a Penrose drain?

Changing the soiled dressing carefully

Pinning the drain to the dressing

Allowing the drain reservoir to fill completely before emptying it

Maintaining the negative pressure of the drain

Answer and Explanation

The Correct Answer is C

Choice A rationale: Changing the soiled dressing carefully is important but not specifically associated with caring for a Penrose drain.

Choice B rationale: Pinning the drain to the dressing is not typically done; securing the drain and preventing tension are important.

Choice C rationale: Allowing the drain reservoir to fill completely before emptying it is a crucial nursing action associated with caring for a Penrose drain.

Choice D rationale: Maintaining the negative pressure of the drain is not applicable to a Penrose drain, which relies on gravity drainage.

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Correct Answer is {"dropdown-group-1":"B"}

Explanation

Choice A rationale: Stage I pressure ulcers involve intact skin with non-blanchable redness, and there is no mention of intact skin in the scenario.

Choice B rationale: Stage II pressure ulcers involve partial thickness skin loss, typically presenting as an abrasion, blister, or shallow crater, which aligns with the description provided.

Choice C rationale: Stage III pressure ulcers involve full-thickness skin loss with damage to or necrosis of subcutaneous tissue but do not match the described scenario.

Choice D rationale: Stage IV pressure ulcers involve full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures, which does not align with the description of partial thickness skin loss in the scenario.

A. spread the skin taut while inserting the needle. B. apply heat to the area before the injection. C. hold the barrel of the syringe still while injecting the medication. D. test for blood return before injecting the medication.

Correct Answer is A

Explanation

Choice A rationale: Spreading the skin taut while inserting the needle can minimize discomfort by reducing the sensation of the needle puncturing the skin.

Choice B rationale: Applying heat to the area before the injection is not a common practice and may not significantly reduce discomfort during the injection.

Choice C rationale: Holding the barrel of the syringe still while injecting the medication is important for accuracy but does not specifically address minimizing discomfort.

Choice D rationale: Testing for blood return before injecting the medication is a technique used with intramuscular but it does not minimize pain during injection.

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A postoperative client has an abdominal incision and a Penrose drain. Both are covered with an abdominal dressing. Which is an important nursing action associated with caring for a client with a Penrose drain?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When doing the client's skin assessment, the nurse notes a 3 cm area of partial thickness skin loss that looks like a blister on the client's sacral area. The nurse consults the wound care nurse, who stages the wound as a dropdown pressure ulcer.

Correct Answer is {"dropdown-group-1":"B"}

Explanation

In order to minimize discomfort when giving an injection to a client, the nurse should:

Correct Answer is A

Explanation

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